Researchers who analyzed audio recordings of 484 annual checkups in southeast Michigan found that patients failed to get 46% of guideline-recommended preventive health services and counseling during routine health examinations. Breast cancer, colorectal cancer and hypertension screenings were the most delivered services, while counseling about aspirin use, vision tests and flu immunization were least likely to be delivered or discussed by providers. The findings appeared in the American Journal of Preventive Medicine.

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